摘要
目的 调查临床护士专业自我概念现状,分析临床护士专业自我概念的潜在剖面及与专业生活品质的关系.方法 2023年4-5月,采用一般资料调查表、护士自我概念问卷、专业生活品质量表对河南省二级以上综合医院的585名临床护士进行电子问卷调查,并对数据进行分析.结果 585名临床护士的专业自我概念总得分为(237.24±36.21)分,专业生活品质中慈心满意为(38.68±6.80)分,工作倦怠为(24.79±6.22)分,二次创伤为(27.98±7.26)分.临床护士的自我概念可分为"低专业自我概念型"(37％)和"高专业自我概念型"(63％)2个潜在剖面.专业自我概念的影响因素包括临床工作时间、职称、婚姻状况、聘用方式、慈心满意、工作倦怠、二次创伤(均P＜0.05).结论 河南省二级以上综合医院临床护士专业自我概念处于中高等水平,护士的自我概念可分为2个类别.不同人口学特征的临床护士专业自我概念的潜在剖面不同,专业生活品质的3个维度影响了专业自我概念的剖面分类.护理管理者应根据不同剖面的人群特征制定针对性的干预方案,进而增加护士的专业自我概念.
Abstract
Objective To investigate the current status of clinical nurses'professional self-concept,and to analyze the potential profile of clinical nurses'professional self-concept and its relationship with professional quality of life.Methods An electronic questionnaire was conducted on 585 clinical nurses in general hospitals above the second level in Henan Province during April to May 2023 using the general information questionnaire,nurses'self-concept questionnaire,and professional quality of life scale,and the data were analyzed.Results The total professional self-concept score of 585 clinical nurses was(237.24±36.21)points,compassionate satisfaction in professional quality of life was(38.68±6.80)points,job burnout was(24.79±6.22)points,and secondary trauma was(27.98±7.26)points.The self-concept of clinical nurses could be categorized into 2 potential profiles:"low professional self-concept type"(37％)and"high professional self-concept type"(63％).The influencing factors of professional self-concept included clinical work hours,title,marital status,mode of employment,compassionate satisfaction,job burnout,and secondary trauma(all P＜0.05).Conclusion The professional self-concept of clinical nurses in comprehensive hospitals at or above the second level in Henan Province is at a medium to high level,and nurses'self-concept can be categorized into 2 categories.Clinical nurses with different demographic characteristics have different potential profiles of professional self-concept,and the three dimensions of professional quality of life influence the categorization of profiles of professional self-concept.Nursing administrators should develop targeted intervention programs based on the characteristics of populations with different profiles,thereby increasing nurses'professional self-concept.
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